Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon L Granger DO Inc

Organization Anesthesiology Physician · NPI 1407710916

Shannon L Granger DO Inc is an Anesthesiology Physician in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12264 El Camino Real
San Diego, CA 92130-3058
Phone: (858) 755-3937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1407710916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Granger — Owner · (858) 755-3937
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing addressPo Box 34120, Reno, NV 89533-4120

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